conference extern orthopedic
•Download as PPTX, PDF•
10 likes•906 views
A 41-year-old male presented with a right wrist injury following a motorcycle accident. Radiographs showed a distal radius fracture, specifically a volar Barton's fracture. Due to the patient's young age and active lifestyle, the treatment plan was to perform an open reduction and internal fixation (ORIF) with plate and screws to achieve anatomic reduction and minimize long-term complications like arthritis. Pre-operatively, the fracture was reduced closed and immobilized with a short arm cast in preparation for definitive surgical fixation.
Report
Share
Report
Share
Recommended
Pelvic fractures
This document provides information on pelvic fractures, including:
- Pelvic fractures account for about 5% of skeletal injuries and most commonly occur in road traffic accidents.
- The pelvic ring is composed of the sacrum and two innominate bones joined by ligaments to provide stability.
- Pelvic fractures can result from lateral compression, anteroposterior compression, or vertical shear forces.
- Treatment may involve non-operative management for minor injuries or operative stabilization using external or internal fixation for more severe injuries.
Distal end of radius fractures dr.harish
This document provides an overview of distal radius fractures, including anatomy, classification systems, treatment options, and complications. Some key points:
- The distal radius has articular surfaces that articulate with the scaphoid, lunate, and triangular fibrocartilage complex.
- Common fracture classifications include the Gartland & Werley and Frykman systems.
- Treatment may involve closed reduction and casting, percutaneous pinning, external fixation, or internal fixation depending on the fracture type and displacement.
- Surgical treatment is usually indicated for displaced intra-articular fractures or when acceptable reduction cannot be achieved/maintained with closed methods.
- Complications can include loss of motion,
Proximal humerus-fractures
Proximal Humerus Fractures-
Brief introduction , Mechanism of injury , classification and Detailed non-operative and surgical management.
Ankle fracture
1. Ankle fractures are commonly caused by twisting injuries and can involve the lateral malleolus, medial malleolus, or both. More severe fractures involve the tibial plafond.
2. Fractures are classified using the Lauge-Hansen or Denis-Weber systems to determine the mechanism and pattern of injury.
3. Treatment depends on the fracture type but often involves operative fixation using plates, screws, or external fixation to restore ankle anatomy and stability.
Pelvic fractures
Pelvic fractures are serious injuries that require prompt evaluation and management. The presentation summarizes the seminar on pelvic fractures, covering relevant anatomy, classification systems, mechanisms of injury, clinical and radiological evaluation, emergency management, and treatment options. Definitive treatment depends on the fracture pattern and stability, ranging from closed reduction and bracing to open reduction with internal or external fixation to address anterior or posterior ring injuries. Complications can include hemorrhage, thrombosis, infection, malunion, and neurological issues.
Galeazzi fracture dislocation
Galeazzi fracture-dislocation is a fracture of the distal or middle third of the radius shaft combined with dislocation of the distal radioulnar joint. It most often occurs in males due to indirect trauma from a fall on an outstretched hand with rotation. Radiographs show the radial fracture and dislocation of the distal radioulnar joint. Treatment involves open reduction and internal fixation of the radial fracture with a plate while restoring length and stability of the distal radioulnar joint. The forearm is then immobilized in supination for 4-6 weeks to heal.
Distal radius fractures
Distal radius fractures are the most common fractures seen in orthopaedic trauma. They typically occur due to falls in older populations and can be classified based on the degree of articular involvement and instability. Treatment depends on fracture pattern but generally involves closed reduction and casting for non-displaced fractures, while more displaced or unstable fractures may require operative fixation to restore anatomy and maximize function. Rehabilitation focuses on early range of motion exercises and recovery of grip strength.
Fractures of distal end radius
This document provides information on fractures of the distal end of the radius bone. It discusses the history, incidence, anatomy, classification, diagnosis, and treatment options for these fractures. Distal radius fractures most commonly result from falls on an outstretched hand and occur in three main age groups. Treatment depends on factors like fracture pattern and stability, and may involve closed reduction with casting or surgical options like percutaneous pinning, plating, or external fixation. The goals of treatment are to restore function, alignment, and stability while avoiding complications.
Recommended
Pelvic fractures
This document provides information on pelvic fractures, including:
- Pelvic fractures account for about 5% of skeletal injuries and most commonly occur in road traffic accidents.
- The pelvic ring is composed of the sacrum and two innominate bones joined by ligaments to provide stability.
- Pelvic fractures can result from lateral compression, anteroposterior compression, or vertical shear forces.
- Treatment may involve non-operative management for minor injuries or operative stabilization using external or internal fixation for more severe injuries.
Distal end of radius fractures dr.harish
This document provides an overview of distal radius fractures, including anatomy, classification systems, treatment options, and complications. Some key points:
- The distal radius has articular surfaces that articulate with the scaphoid, lunate, and triangular fibrocartilage complex.
- Common fracture classifications include the Gartland & Werley and Frykman systems.
- Treatment may involve closed reduction and casting, percutaneous pinning, external fixation, or internal fixation depending on the fracture type and displacement.
- Surgical treatment is usually indicated for displaced intra-articular fractures or when acceptable reduction cannot be achieved/maintained with closed methods.
- Complications can include loss of motion,
Proximal humerus-fractures
Proximal Humerus Fractures-
Brief introduction , Mechanism of injury , classification and Detailed non-operative and surgical management.
Ankle fracture
1. Ankle fractures are commonly caused by twisting injuries and can involve the lateral malleolus, medial malleolus, or both. More severe fractures involve the tibial plafond.
2. Fractures are classified using the Lauge-Hansen or Denis-Weber systems to determine the mechanism and pattern of injury.
3. Treatment depends on the fracture type but often involves operative fixation using plates, screws, or external fixation to restore ankle anatomy and stability.
Pelvic fractures
Pelvic fractures are serious injuries that require prompt evaluation and management. The presentation summarizes the seminar on pelvic fractures, covering relevant anatomy, classification systems, mechanisms of injury, clinical and radiological evaluation, emergency management, and treatment options. Definitive treatment depends on the fracture pattern and stability, ranging from closed reduction and bracing to open reduction with internal or external fixation to address anterior or posterior ring injuries. Complications can include hemorrhage, thrombosis, infection, malunion, and neurological issues.
Galeazzi fracture dislocation
Galeazzi fracture-dislocation is a fracture of the distal or middle third of the radius shaft combined with dislocation of the distal radioulnar joint. It most often occurs in males due to indirect trauma from a fall on an outstretched hand with rotation. Radiographs show the radial fracture and dislocation of the distal radioulnar joint. Treatment involves open reduction and internal fixation of the radial fracture with a plate while restoring length and stability of the distal radioulnar joint. The forearm is then immobilized in supination for 4-6 weeks to heal.
Distal radius fractures
Distal radius fractures are the most common fractures seen in orthopaedic trauma. They typically occur due to falls in older populations and can be classified based on the degree of articular involvement and instability. Treatment depends on fracture pattern but generally involves closed reduction and casting for non-displaced fractures, while more displaced or unstable fractures may require operative fixation to restore anatomy and maximize function. Rehabilitation focuses on early range of motion exercises and recovery of grip strength.
Fractures of distal end radius
This document provides information on fractures of the distal end of the radius bone. It discusses the history, incidence, anatomy, classification, diagnosis, and treatment options for these fractures. Distal radius fractures most commonly result from falls on an outstretched hand and occur in three main age groups. Treatment depends on factors like fracture pattern and stability, and may involve closed reduction with casting or surgical options like percutaneous pinning, plating, or external fixation. The goals of treatment are to restore function, alignment, and stability while avoiding complications.
Ankle injury amanj
The document discusses ankle fractures, including:
1) Ankle fractures are common injuries, often occurring in younger men and older women. The ankle is a complex three-bone joint composed of the tibia, fibula, and talus bone.
2) Physical examination of ankle fractures involves checking for deformities, neurovascular status, and pain with compression or movement. X-rays can help classify the fracture and detect bone displacement.
3) Treatment depends on the fracture type but may involve closed reduction, surgery to repair displaced bones, or immobilization in a cast or boot. The goal is to restore ankle stability and joint alignment.
Colles fracture presentation
This presentation discusses Colles' fracture, which is a fracture of the lower end of the radius that also involves dislocation of the inferior radioulnar joint. The common cause is a fall on an outstretched hand. Clinical features include pain, swelling, and deformities like dorsal angulation or displacement of the distal fragment. Treatment depends on whether the fracture is displaced or undisplaced, and may involve closed reduction, casting, or percutaneous pinning followed by rehabilitation including range of motion and strengthening exercises. Complications can include nonunion, malunion, stiffness, or nerve damage if not treated properly.
Growth plate (physeal) fracture
The document discusses physeal (growth plate) injuries in children. It notes that physeal injuries represent 15-20% of injuries in children and can cause growth arrest and deformities. The most common sites are the distal radius, distal tibia, and phalanges. It describes the anatomy and blood supply of the physis. It discusses the Salter-Harris classification system for physeal fractures and treatment approaches including casting, splinting, and surgery. Complications of physeal injuries like growth arrest, angular deformity, and limb length discrepancy are also summarized. Long term follow up is needed to monitor bone healing and growth.
Eponymous fractures
This document describes various eponymous fractures, including the bone involved, location of the fracture, and typical mechanism of injury. Some examples are:
- Bankart's fracture involves the anterior glenoid labrum from shoulder dislocation.
- Barton's fracture is an intra-articular fracture of the distal radius with radiocarpal dislocation from a fall on an outstretched hand.
- Bennett's fracture involves the base of the first metacarpal bone extending into the carpometacarpal joint from an axial load on the partially flexed thumb.
- Bosworth fracture is a rare fracture of the distal fibula with posterior dislocation of the proximal fibular fragment trapped behind the
paediatric elbow fractures
This document discusses several common types of paediatric elbow fractures including supracondylar fractures, lateral condyle fractures, medial epicondyle avulsion fractures, and proximal radius fractures. It provides details on the anatomy of the elbow, mechanisms of injury, classification systems used, and typical treatment approaches for each type of fracture. Common complications are also summarized. Radiographic views and assessment techniques useful for evaluating these fractures are described.
Pelvic fracture classification
Tile classification system categorizes pelvic fractures into three main types (A, B, C) based on the integrity of the posterior pelvic ring and stability. Type A fractures have an intact posterior ring and are stable. Type B fractures have a partially disrupted posterior ring and are rotationally unstable but vertically stable. Type C fractures have a completely disrupted posterior ring and are both rotationally and vertically unstable. The Young-Burgess classification system categorizes fractures based on the direction of forces (lateral compression, anteroposterior compression, vertical shear, combined mechanisms) and predicts prognosis and treatment. Both systems have moderate to substantial inter-observer reliability, with the Young-Burgess system potentially being more reproducible for learning
Common Upper Limb Fractures
1. Common upper limb fractures include fractures of the clavicle, proximal humerus, distal radius, and scaphoid.
2. Clavicle fractures most often occur in the middle third and are usually treated non-surgically with a sling. Surgical treatment is indicated for open fractures or displaced fractures.
3. Proximal humerus fractures are more common in the elderly and young. Treatment depends on the degree of displacement, with minimally displaced fractures treated non-surgically and more displaced fractures requiring surgical fixation.
shoulder dislocation,scapula ,clavicle and all injuries around shoulder joints
1. The document discusses fractures and dislocations that can occur in the shoulder girdle, which includes the clavicle, scapula, and humerus.
2. It describes the mechanisms of injury, clinical presentations, treatments, and complications for fractures of the clavicle and scapula as well as dislocations of the sternoclavicular joint, acromioclavicular joint, and glenohumeral joint.
3. The treatments discussed include slings, braces, closed reduction, open reduction with internal fixation, and surgical procedures like the Bankart repair.
Acetabular Fracture.pptx
1) Acetabular fractures involve the two columns of bone that make up the acetabulum - the anterior and posterior columns.
2) Classification systems help determine the best surgical approach and treatment based on which column(s) are fractured and the degree of displacement.
3) Surgical treatment aims to anatomically reduce the articular surface through approaches like the Kocher-Langenbeck or ilioinguinal to place plates and screws, while nonsurgical treatment is indicated for non- or minimally displaced fractures.
Ankle injury
The ankle is a three bone joint composed of the tibia, fibula, and talus. The talus articulates superiorly with the tibial plafond and posteriorly and medially with the posterior and medial malleoli. Laterally, it articulates with the fibular malleolus. The ankle joint is saddle-shaped and wider anteriorly than posteriorly. During dorsiflexion, the fibula rotates externally through the tibiofibular syndesmosis to accommodate the widened anterior surface of the talar dome. Displacement of the talus within the ankle mortise by only 1 mm decreases the contact area by 42%.
Fracture of distal radius
My seminar presentation slides. Please correct me if I've did something wrong in it. You can also leave any message thru my email, nurhanisahzainoren@gmail.com
Elbow dislocations
Elbow is the most common joint to dislocate in children. Posterior dislocation is most common.
Simple dislocations are those without fracture.
Complex dislocations are those that occur with an associated fracture
Supra condylar humerus fracture in children
Upper-extremity fractures account for 65-75% of all fractures in children, with 7-9% involving the elbow. Supracondylar fractures of the distal humerus are the most common elbow injuries in children, typically occurring between ages 5-10 years old. These fractures are classified into Types 1-3 based on displacement. Type 1 fractures are non-displaced, Type 2 have angulation/displacement with an intact posterior cortex, and Type 3 have complete displacement of fragments. Closed reduction and percutaneous pinning is the most common treatment, with pins placed medially and laterally for stability. Open reduction is rarely needed but may be indicated for inadequate closed reduction or vascular injury.
Ankle fractures
The ankle joint consists of the talus bone articulating with the medial and lateral malleoli and the tibial plafond. Any stable ankle injury can potentially be treated non-surgically, while unstable fractures require open reduction and internal fixation for better long-term outcomes. Fractures are classified using systems like Lauge-Hansen and Danis-Weber based on the mechanism of injury. Treatment depends on factors like stability, displacement and bone involvement. Surgical treatment focuses on anatomic reduction and stable fixation of fractures while protecting neurovascular structures.
Calcaneal fractures
Here are the key steps in the ORIF procedure:
1. Patient is placed in lateral decubitus position and a right-angled lateral incision is made to minimize soft tissue damage.
2. The fracture line at the angle of Gissane is identified.
3. Fragments are temporarily held in place with K-wires under fluoroscopy while the reconstruction restores the 3D shape of the calcaneus.
4. The "constant" sustentacular fragment is used to begin the reconstruction, working anteriorly and medially.
5. Traction may be needed to restore the posterior facet.
6. The lateral wall fragment is closed like a door last to complete the
Galleazi fracture dislocation
This document provides information on Galeazzi fractures, which involve a fracture of the radial shaft with a dislocation of the distal radioulnar joint. It describes the mechanism of injury as a fall on a hyperpronated forearm, discusses associated injuries, signs on imaging, and classifications. Surgical management is the preferred treatment, involving plate fixation of the radial shaft fracture and possible pinning or open repair of the distal radioulnar joint if unstable. Postoperative immobilization and rehabilitation are also outlined.
Fracture of Forearm Bones
This document discusses fractures of the forearm and wrist. It begins by describing olecranon fractures, classifying them based on displacement and stability. It notes that undisplaced fractures are treated nonoperatively while displaced fractures require operative fixation. Radial head and neck fractures as well as fractures of the radius and ulna shaft are also discussed. Distal radius fractures are classified using the AO system and treatment may involve closed or open reduction. Specific fractures of the wrist like scaphoid and Bennett fractures are outlined along with treatment principles for metacarpal and phalangeal injuries. Overall, the summary provides an overview of different forearm, wrist and hand fractures and guidelines for nonoperative and operative management.
Pelvic fracture
This document discusses pelvic fractures, including their classification, mechanisms of injury, clinical assessment, management principles, and associated injuries. It describes the Tile classification system that aids in prognosis determination and the Young-Burgess classification system that alerts surgeons to potential resuscitation needs and injury patterns based on the mechanism of injury being lateral compression, anteroposterior compression, vertical shear, or combined. Clinical assessment includes a rectal exam and neurological assessment, while management principles follow the ABCDE approach and include applying a pelvic binder or sheet. Associated injuries discussed are vascular, urethral, bowel, and vaginal.
2. Dislocation of Shoulder
Dear all,
This ppt contains the cause, types, clinical and radiological features, treatment and complication of dislocation of the shoulder. I hope this is useful to you.
Thank you
Foot ankle fractures
This document provides an overview and discussion of various foot and ankle fractures and their typical treatment approaches. It begins with an agenda for reviewing ankle x-rays, classifications, and foot and ankle fractures. Several case examples are presented and treatment options discussed, including immobilization with casting, referral to orthopedics, and potential surgical intervention depending on the location and severity of the fracture. Common fractures addressed include those of the ankle, talus, calcaneus, midfoot, metatarsals, and phalanges.
Presentation 3
- The patient is a 42-year-old Thai female nurse who fell in the bathroom and injured her right wrist. X-rays showed a closed fracture at the distal end of the right radius bone (Colles' fracture).
- Distal radius fractures are common injuries, especially in older patients. They result from falls onto an outstretched hand.
- Treatment depends on the fracture pattern and stability. Most can be treated with closed reduction and casting, while unstable or displaced fractures may require surgery.
upper limb trauma.pptx
1) Clavicle fractures are most commonly caused by falls onto the shoulder. Treatment is usually closed with immobilization, though surgery may be used for displaced or unstable fractures.
2) Proximal humerus fractures are also often caused by falls, and are evaluated clinically and radiographically. Treatment depends on fracture type and degree of displacement, ranging from immobilization to open reduction and internal fixation.
3) Shoulder dislocations, especially anterior dislocations, commonly cause Bankart lesions of the labrum and Hill-Sachs defects of the humeral head. Early surgical repair may be needed for recurrent instability.
More Related Content
What's hot
Ankle injury amanj
The document discusses ankle fractures, including:
1) Ankle fractures are common injuries, often occurring in younger men and older women. The ankle is a complex three-bone joint composed of the tibia, fibula, and talus bone.
2) Physical examination of ankle fractures involves checking for deformities, neurovascular status, and pain with compression or movement. X-rays can help classify the fracture and detect bone displacement.
3) Treatment depends on the fracture type but may involve closed reduction, surgery to repair displaced bones, or immobilization in a cast or boot. The goal is to restore ankle stability and joint alignment.
Colles fracture presentation
This presentation discusses Colles' fracture, which is a fracture of the lower end of the radius that also involves dislocation of the inferior radioulnar joint. The common cause is a fall on an outstretched hand. Clinical features include pain, swelling, and deformities like dorsal angulation or displacement of the distal fragment. Treatment depends on whether the fracture is displaced or undisplaced, and may involve closed reduction, casting, or percutaneous pinning followed by rehabilitation including range of motion and strengthening exercises. Complications can include nonunion, malunion, stiffness, or nerve damage if not treated properly.
Growth plate (physeal) fracture
The document discusses physeal (growth plate) injuries in children. It notes that physeal injuries represent 15-20% of injuries in children and can cause growth arrest and deformities. The most common sites are the distal radius, distal tibia, and phalanges. It describes the anatomy and blood supply of the physis. It discusses the Salter-Harris classification system for physeal fractures and treatment approaches including casting, splinting, and surgery. Complications of physeal injuries like growth arrest, angular deformity, and limb length discrepancy are also summarized. Long term follow up is needed to monitor bone healing and growth.
Eponymous fractures
This document describes various eponymous fractures, including the bone involved, location of the fracture, and typical mechanism of injury. Some examples are:
- Bankart's fracture involves the anterior glenoid labrum from shoulder dislocation.
- Barton's fracture is an intra-articular fracture of the distal radius with radiocarpal dislocation from a fall on an outstretched hand.
- Bennett's fracture involves the base of the first metacarpal bone extending into the carpometacarpal joint from an axial load on the partially flexed thumb.
- Bosworth fracture is a rare fracture of the distal fibula with posterior dislocation of the proximal fibular fragment trapped behind the
paediatric elbow fractures
This document discusses several common types of paediatric elbow fractures including supracondylar fractures, lateral condyle fractures, medial epicondyle avulsion fractures, and proximal radius fractures. It provides details on the anatomy of the elbow, mechanisms of injury, classification systems used, and typical treatment approaches for each type of fracture. Common complications are also summarized. Radiographic views and assessment techniques useful for evaluating these fractures are described.
Pelvic fracture classification
Tile classification system categorizes pelvic fractures into three main types (A, B, C) based on the integrity of the posterior pelvic ring and stability. Type A fractures have an intact posterior ring and are stable. Type B fractures have a partially disrupted posterior ring and are rotationally unstable but vertically stable. Type C fractures have a completely disrupted posterior ring and are both rotationally and vertically unstable. The Young-Burgess classification system categorizes fractures based on the direction of forces (lateral compression, anteroposterior compression, vertical shear, combined mechanisms) and predicts prognosis and treatment. Both systems have moderate to substantial inter-observer reliability, with the Young-Burgess system potentially being more reproducible for learning
Common Upper Limb Fractures
1. Common upper limb fractures include fractures of the clavicle, proximal humerus, distal radius, and scaphoid.
2. Clavicle fractures most often occur in the middle third and are usually treated non-surgically with a sling. Surgical treatment is indicated for open fractures or displaced fractures.
3. Proximal humerus fractures are more common in the elderly and young. Treatment depends on the degree of displacement, with minimally displaced fractures treated non-surgically and more displaced fractures requiring surgical fixation.
shoulder dislocation,scapula ,clavicle and all injuries around shoulder joints
1. The document discusses fractures and dislocations that can occur in the shoulder girdle, which includes the clavicle, scapula, and humerus.
2. It describes the mechanisms of injury, clinical presentations, treatments, and complications for fractures of the clavicle and scapula as well as dislocations of the sternoclavicular joint, acromioclavicular joint, and glenohumeral joint.
3. The treatments discussed include slings, braces, closed reduction, open reduction with internal fixation, and surgical procedures like the Bankart repair.
Acetabular Fracture.pptx
1) Acetabular fractures involve the two columns of bone that make up the acetabulum - the anterior and posterior columns.
2) Classification systems help determine the best surgical approach and treatment based on which column(s) are fractured and the degree of displacement.
3) Surgical treatment aims to anatomically reduce the articular surface through approaches like the Kocher-Langenbeck or ilioinguinal to place plates and screws, while nonsurgical treatment is indicated for non- or minimally displaced fractures.
Ankle injury
The ankle is a three bone joint composed of the tibia, fibula, and talus. The talus articulates superiorly with the tibial plafond and posteriorly and medially with the posterior and medial malleoli. Laterally, it articulates with the fibular malleolus. The ankle joint is saddle-shaped and wider anteriorly than posteriorly. During dorsiflexion, the fibula rotates externally through the tibiofibular syndesmosis to accommodate the widened anterior surface of the talar dome. Displacement of the talus within the ankle mortise by only 1 mm decreases the contact area by 42%.
Fracture of distal radius
My seminar presentation slides. Please correct me if I've did something wrong in it. You can also leave any message thru my email, nurhanisahzainoren@gmail.com
Elbow dislocations
Elbow is the most common joint to dislocate in children. Posterior dislocation is most common.
Simple dislocations are those without fracture.
Complex dislocations are those that occur with an associated fracture
Supra condylar humerus fracture in children
Upper-extremity fractures account for 65-75% of all fractures in children, with 7-9% involving the elbow. Supracondylar fractures of the distal humerus are the most common elbow injuries in children, typically occurring between ages 5-10 years old. These fractures are classified into Types 1-3 based on displacement. Type 1 fractures are non-displaced, Type 2 have angulation/displacement with an intact posterior cortex, and Type 3 have complete displacement of fragments. Closed reduction and percutaneous pinning is the most common treatment, with pins placed medially and laterally for stability. Open reduction is rarely needed but may be indicated for inadequate closed reduction or vascular injury.
Ankle fractures
The ankle joint consists of the talus bone articulating with the medial and lateral malleoli and the tibial plafond. Any stable ankle injury can potentially be treated non-surgically, while unstable fractures require open reduction and internal fixation for better long-term outcomes. Fractures are classified using systems like Lauge-Hansen and Danis-Weber based on the mechanism of injury. Treatment depends on factors like stability, displacement and bone involvement. Surgical treatment focuses on anatomic reduction and stable fixation of fractures while protecting neurovascular structures.
Calcaneal fractures
Here are the key steps in the ORIF procedure:
1. Patient is placed in lateral decubitus position and a right-angled lateral incision is made to minimize soft tissue damage.
2. The fracture line at the angle of Gissane is identified.
3. Fragments are temporarily held in place with K-wires under fluoroscopy while the reconstruction restores the 3D shape of the calcaneus.
4. The "constant" sustentacular fragment is used to begin the reconstruction, working anteriorly and medially.
5. Traction may be needed to restore the posterior facet.
6. The lateral wall fragment is closed like a door last to complete the
Galleazi fracture dislocation
This document provides information on Galeazzi fractures, which involve a fracture of the radial shaft with a dislocation of the distal radioulnar joint. It describes the mechanism of injury as a fall on a hyperpronated forearm, discusses associated injuries, signs on imaging, and classifications. Surgical management is the preferred treatment, involving plate fixation of the radial shaft fracture and possible pinning or open repair of the distal radioulnar joint if unstable. Postoperative immobilization and rehabilitation are also outlined.
Fracture of Forearm Bones
This document discusses fractures of the forearm and wrist. It begins by describing olecranon fractures, classifying them based on displacement and stability. It notes that undisplaced fractures are treated nonoperatively while displaced fractures require operative fixation. Radial head and neck fractures as well as fractures of the radius and ulna shaft are also discussed. Distal radius fractures are classified using the AO system and treatment may involve closed or open reduction. Specific fractures of the wrist like scaphoid and Bennett fractures are outlined along with treatment principles for metacarpal and phalangeal injuries. Overall, the summary provides an overview of different forearm, wrist and hand fractures and guidelines for nonoperative and operative management.
Pelvic fracture
This document discusses pelvic fractures, including their classification, mechanisms of injury, clinical assessment, management principles, and associated injuries. It describes the Tile classification system that aids in prognosis determination and the Young-Burgess classification system that alerts surgeons to potential resuscitation needs and injury patterns based on the mechanism of injury being lateral compression, anteroposterior compression, vertical shear, or combined. Clinical assessment includes a rectal exam and neurological assessment, while management principles follow the ABCDE approach and include applying a pelvic binder or sheet. Associated injuries discussed are vascular, urethral, bowel, and vaginal.
2. Dislocation of Shoulder
Dear all,
This ppt contains the cause, types, clinical and radiological features, treatment and complication of dislocation of the shoulder. I hope this is useful to you.
Thank you
Foot ankle fractures
This document provides an overview and discussion of various foot and ankle fractures and their typical treatment approaches. It begins with an agenda for reviewing ankle x-rays, classifications, and foot and ankle fractures. Several case examples are presented and treatment options discussed, including immobilization with casting, referral to orthopedics, and potential surgical intervention depending on the location and severity of the fracture. Common fractures addressed include those of the ankle, talus, calcaneus, midfoot, metatarsals, and phalanges.
What's hot (20)
shoulder dislocation,scapula ,clavicle and all injuries around shoulder joints
shoulder dislocation,scapula ,clavicle and all injuries around shoulder joints
Similar to conference extern orthopedic
Presentation 3
- The patient is a 42-year-old Thai female nurse who fell in the bathroom and injured her right wrist. X-rays showed a closed fracture at the distal end of the right radius bone (Colles' fracture).
- Distal radius fractures are common injuries, especially in older patients. They result from falls onto an outstretched hand.
- Treatment depends on the fracture pattern and stability. Most can be treated with closed reduction and casting, while unstable or displaced fractures may require surgery.
upper limb trauma.pptx
1) Clavicle fractures are most commonly caused by falls onto the shoulder. Treatment is usually closed with immobilization, though surgery may be used for displaced or unstable fractures.
2) Proximal humerus fractures are also often caused by falls, and are evaluated clinically and radiographically. Treatment depends on fracture type and degree of displacement, ranging from immobilization to open reduction and internal fixation.
3) Shoulder dislocations, especially anterior dislocations, commonly cause Bankart lesions of the labrum and Hill-Sachs defects of the humeral head. Early surgical repair may be needed for recurrent instability.
Distal radius fracture
The document discusses the anatomy, epidemiology, classification, diagnosis, and management of distal radius fractures. Some key points:
- The distal radius is responsible for 80% of the wrist's axial load and articulates with the scaphoid, lunate, and ulna.
- Distal radius fractures have a trimodal distribution and are the most common osteoporotic fracture.
- Types include Colles', Smith's, Barton's, and lunate load fractures. Colles' involves backward displacement and Smith's involves palmar displacement.
- Treatment depends on factors like age, fracture characteristics, and associated injuries. Non-operative options include closed reduction and casting while operative options include pinning, external
Distal Radius.Fractures
The document discusses distal radius fractures, including their classification, management, and research. It describes the most common classification systems, which classify fractures based on joint involvement, mechanism of injury, and severity. Management options include closed reduction and casting for non-displaced fractures, as well as percutaneous pinning, external fixation, and open reduction internal fixation for displaced or unstable fractures. Complications and the importance of anatomic restoration and early motion are also covered.
Fractures Of The Distal Radius
Distal radius fractures can be extra-articular or intra-articular. They are commonly classified based on location, configuration, displacement, involvement of the ulna, and stability. Treatment depends on factors like age, fracture pattern, and degree of displacement. Options include closed reduction with casting or surgical fixation to restore anatomy and allow early mobility. Complications can include malunion, arthritis, and nerve injuries if not properly treated.
Common Hand Fractures & Dislocations
บรรยายให้แพทย์และพยาบาลเวชปฏิบัติทั่วไปในการประชุมวิชาการ "Orthopaedics for non-orthopedist ครั้งที่ 3" วันพฤหัสบดีที่ 15 มิถุนายน 2560 ณ โรงพยาบาลมหาราชนครราชสีมา
proximalfemoralfractures-190716152524.pptx
This document discusses the anatomy, classification, treatment, and complications of proximal femoral fractures. It begins by covering the anatomy of the proximal femur and blood supply. It then discusses the AO classification system and Garden classification for femoral neck fractures. Treatment options are presented for different fracture types, including internal fixation and hemiarthroplasty. Complications of various treatments like nonunion and avascular necrosis are also summarized. Studies comparing treatments like screw fixation versus hemiarthroplasty in elderly patients are reviewed.
A brief review of distal radius fractures
This document provides an overview of distal radius fractures, including:
- Classifications including Frykman, Fernandez, Melone, AO which describe fracture type, severity and treatment.
- Common fracture types like Colles, Smith's and Barton's are described.
- Radiographic parameters to assess fracture reduction are outlined.
- Management approaches including closed reduction and casting, percutaneous pinning, external fixation and open reduction internal fixation are discussed. Complications of different treatment methods are also reviewed.
Distal radius fracture
This document discusses distal radius fractures, providing details on:
- Epidemiology, including three main peaks of fracture distribution among different age groups.
- Classification systems including Gartland & Werley and AO/OTA.
- Treatment options including casting, percutaneous pinning, plating techniques, external fixation.
- Surgical indications such as intra-articular displacement, comminution, open fractures.
- Goals of treatment which are to preserve function, realign anatomy and promote healing.
Introduction to Upper limb trauma
1) The document discusses various types of upper limb trauma including fractures and dislocations of the shoulder, elbow, forearm, wrist and hand.
2) Signs and symptoms, mechanisms of injury, clinical evaluation including relevant tests and imaging, complications and treatment options are described for conditions like shoulder dislocation, humeral fractures, supracondylar humerus fractures, forearm fractures and wrist fractures.
3) Common fractures discussed include Colles fracture of distal radius, supracondylar humerus fractures in children, lateral condyle humerus fracture and Bennett's and Rolando fractures of the thumb.
4) Different types of splints used for immobilization like K wire splint,
Upperlimb fractures bpt
The document discusses various fractures of the upper limb, including: pulled elbow in children, fractures of the proximal radius (head, neck), Monteggia and Galeazzi fractures involving the forearm bones and dislocations, fractures of both bones of the forearm, distal radius fractures including Colles' fracture, and scaphoid fractures. Treatment options depend on the type and location of the fracture, and may involve closed reduction, casting, external fixation, plating, or intramedullary nailing. Complications include nonunion, malunion, neurovascular injuries, and arthritis.
Forearm Fractures of Adults
This document discusses forearm diaphysial fractures in adults. It begins by describing the anatomy and biomechanics of the forearm. It then discusses the epidemiology of forearm fractures, including that they most commonly occur in males ages 15-39 from high-energy trauma. It classifies fractures based on location and describes common fracture patterns like Monteggia and Galeazzi fractures. The document outlines how to assess and manage patients, including indications for operative versus non-operative treatment. Surgical techniques like plate fixation are described. Finally, potential postoperative complications are mentioned.
TRAUMATOLOGY 11 copy 2 (1).pptx
This document provides information on traumatology and various injuries to the upper and lower limbs, head, chest, and spine. It begins with learning outcomes and definitions of traumatology. It then discusses fractures and injuries to specific areas like the shoulder girdle, scapula, humerus, radius, forearm, carpal bones, and metacarpals. For each injury, it covers topics like causes, signs and symptoms, treatment options, and potential complications. The goal is to help manage various acute physical injuries requiring immediate medical attention.
Wrist forearm elbow
1. The document discusses common injuries to the bones and joints of the wrist, forearm, elbow, including fractures such as Colles fractures, Smith fractures, Barton fractures, as well as dislocations like radial head dislocations.
2. Treatment options for fractures include closed reduction, casting, splinting, or open reduction and internal fixation depending on the degree of displacement and stability.
3. Elbow injuries in children require prompt recognition and treatment of potential complications including neurovascular injury, compartment syndrome, and malunion.
Distal Radius Fractures(DER) colless.pdf
Distal radius fractures are common injuries that can impair hand and wrist function if not properly treated. They often result from falls on an outstretched hand. Surgical treatment goals are to preserve function, realign anatomy, and promote healing. Treatment may involve closed reduction and casting, percutaneous pinning, external fixation, or open reduction with internal fixation using plates or screws. Proper restoration of radial length, inclination, and tilt is important for outcomes. Malunion can alter load bearing and require corrective osteotomy.
Distal radius fractures
This document discusses distal radius fractures, which make up 20% of orthopaedic admissions. It describes the anatomy of the distal radius and classifications of fractures. Common types include Colles, Smith, Barton, and die punch fractures. Treatment depends on factors like patient age and fracture stability/displacement, and may involve closed or open reduction with pinning or plating to restore normal anatomy. Nonoperative treatment uses casting for stable fractures, while unstable fractures often require surgical fixation.
DISTAL RADIUS FRACTURE.pptx
This document summarizes different types of distal radius fractures, including Colles fractures and Smith fractures. Colles fractures involve a hyperextended and radially deviated wrist from a fall, often appearing as a "dinner fork" deformity. Smith fractures are the reverse with volar angulation from the wrist flexed in a fall. Treatment options are also summarized, indicating nonoperative treatment for nondisplaced or minimally displaced fractures using splinting or casting, while operative indications include displaced articular fractures, nerve injuries, or multiple injuries. Nonoperative techniques involve closed reduction and splinting or casting the wrist in slight flexion for 6 weeks.
Upper extremity fractures.pptx
1) The document provides an overview of common upper extremity injuries, including fractures of the clavicle, scapula, humerus, elbow, forearm, and wrist.
2) It describes the anatomy, mechanisms of injury, clinical features, diagnosis, and treatment approaches for each type of fracture. Conservative treatment involves splinting or casting while surgical treatment uses plates, screws, or other internal fixation devices.
3) Complications of these injuries include nonunion, malunion, stiffness, nerve damage, and in some cases may require further surgery if not properly treated.
Shoulder fractures around the shoulder
This document discusses fractures around the shoulder joint, including proximal humerus fractures, shoulder dislocations, scapular fractures, and clavicular fractures. It provides details on the anatomy, classifications, clinical presentations, imaging, and treatment options for each type of injury. Treatment may involve closed reduction, open reduction with various surgical techniques like plating or nailing depending on the fracture pattern and bone quality. Post-operative rehabilitation is important for optimal outcomes.
Proximal femur fractures
1. Proximal femur fractures are divided into femoral head, femoral neck, and extracapsular fractures based on location. Accurately classifying the fracture type guides surgical management.
2. Femoral neck fractures occur through the intra-capsular part of the femoral neck. They are classified using the Garden or Pauwel's classifications which determine stability and treatment approach.
3. Intertrochanteric fractures occur between the greater and lesser trochanters. Younger patients often experience high-energy injuries while the elderly commonly sustain them from falls. Treatment depends on the Evans classification and stability.
Similar to conference extern orthopedic (20)
Recently uploaded
How to Manage Your Lost Opportunities in Odoo 17 CRM
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
How to Setup Warehouse & Location in Odoo 17 Inventory
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
PCOS corelations and management through Ayurveda.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
How to Fix the Import Error in the Odoo 17
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
Digital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments Unit - NGV Pavilion Concept Design
Main Java[All of the Base Concepts}.docx
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
How to Make a Field Mandatory in Odoo 17
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
The Diamonds of 2023-2024 in the IGRA collection
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...National Information Standards Organization (NISO)
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.clinical examination of hip joint (1).pdf
described clinical examination all orthopeadic conditions .
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...Nguyen Thanh Tu Collection
https://app.box.com/s/y977uz6bpd3af4qsebv7r9b7s21935vdRecently uploaded (20)
How to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRM
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
How to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 Inventory
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
Liberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdf
conference extern orthopedic
- 1. Case extern conference Kanokpitch Sattathara
- 2. Male 41 year, motorcycle accident Falling On an Out-Stretched Hand
- 3. Male 41 year, no underlying disease motorcycle accident 3 hr PTA Falling On an Out-Stretched Hand no associated symptom PE: Right wrist swelling, deformity, tenderness, and limit ROM due to pain. Abrasion wound 1 cm dorsal of Rt.wrist Neurovascular intact.
- 4. investigation Film Rt. Wrist AP, Lat :
- 5. Distal end radius fracture
- 6. Distal end radius fracture • Most common orthopaedic injury with a bimodal distribution – younger patients - high energy – older patients - low energy / falls • Falling On an Out-Stretched Hand (sometimes abbreviated as FOOSH) • 50% intra-articular
- 7. Distal end radius fracture • Associated injuries – DRUJ injuries – radial styloid fx - indication of higher energy • Osteoporosis – high incidence of distal radius fractures in women >50 – distal radius fractures are a predictor of subsequent fractures • DEXA scan is recommended in woman with a distal radius fracture
- 8. Classification • Fernandez: based on mechanism of injury • Frykman: based on joint involvement (radiocarpal and/or radioulnar) +/- ulnar styloid fx • Melone: divides intra-articular fxs into 4 types based on displacement • AO: comprehensive but cumbersome
- 9. Fernandez Classification 1. Bending fractures of the metaphysis •Transverse fracture at metaphysis •Extra-articular fracture •Colles and Smith fractures 2. Shearing Fracture of the joint surface •intra-articular fracture •Barton's fracture, reversed Barton's fracture
- 10. Fernandez Classification 3. Compression Fracture of the joint surface •impaction metaphyseal bone (die- punch) • intraarticular comminuted fracture 4. Avulsion Fracture of ligament attachments •Avulsion of ulnar and radial styloid process • radiocarpal fracture-dislocation.
- 11. Fernandez Classification 5. Combination of types •High energy injuries.
- 12. Common distal end radius fracture Colles’ fracture • Very common extra-articular fractures of the distal radius • most frequently seen in elderly women. • Fall in to wrist dorsiflxtion • Dinner fork deformity • Transverse fracture at distal radial metaphysis • Dorsal displacement of the distal fragment
- 13. Common distal end radius fracture Smith's fracture (reverse Colles) • Fall in to wrist palmarflexion • volar displacement of the distal fragment
- 14. Common distal end radius fracture Barton's fracture • intra-articular fracture • Shearing force • Volar type/Dorsal type • usually associated subluxation/dislocation of the carpal bone.
- 15. Common distal end radius fracture Barton's fracture • intra-articular fracture • Shearing force • Volar type/Dorsal type • usually associated subluxation/dislocation of the carpal bone.
- 16. Common distal end radius fracture Die-punch fracture • a depression fracture of the lunate fossa of the distal radius. • High energy compression force
- 17. Imaging • Radiographs X-ray parameters normal Acceptable Radial height 12 mm <2 mm shortening Radial inclination 23° change <5° Ulnar variance 0-2 mm No ulnar pus(ulnar higher than radius) Lateral tilt Volar tilt 11° Neutral tilt(no dorsal tilt) Joint stepping (intra-articular fracture) No stepping <2 mm stepoff
- 19. Treatment • High demand hand : physiologically young or active Aim fracture healed with perfect reduction Decrease long term complication e.g. post-traumatic arthritis, late midcarpal instability • low demand hand Aim fracture external alignment Unnecessary to perfect reduction
- 20. Treatment-High demand hand Conservative treatment • Fernandez type 1 without cortical comminution Acceptable alignment after close reduction = short arm cast 6 weeks wrist splint 3 weeks +ROM exercise
- 21. Treatment-High demand hand Surgical treatment :ORIF
- 22. Close reduction of Colles’ fracture • Pain control -morphine -hematoma block • Traction • Reverse mechanism Colles’ fracture hyperextension of wrist Reverse mechanism : volar flexion • Final adjust alignment
- 24. Treatment-low demand hand Conservative treatment = immobilize without close reduction By short arm cast 6 weeks wrist splint 3 weeks +ROM exercise In severe external malalignment close reduction *Osteoporosis treatment
- 25. complication 1. Compartment syndrome 2. Median nerve neuropathy 3. Distal radio-ulnar joint instability 4. Post- traumatic arthritis 5. malunion
- 26. Male 41 year, motorcycle accident Falling On an Out-Stretched Hand
- 27. investigation Film Rt. Wrist AP, Lat :
- 28. Diagnosis • Volar Barton's fracture
- 29. Plan of treatment • Close reduction and short arm AP slab for immobilize • Set OR for ORIF with P&S
- 30. Film Rt. Wrist AP, Lat post close reduction